Health Care : Current Reviews

Cost-effectiveness analysis of medical intervention in patients with early detection of diabetic retinopathy in a tertiary care hospital in Bangladesh

3^rd Indo-Global Summit & Expo on Healthcare

October 05-07, 2015 New Delhi, India

Samira Humaira Habib, Soma Saha, Fahmida Binte Mesbah, Sharmina Alauddin and Debashish Paul

Diabetic Association of Bangladesh, Bangladesh Bangladesh Institute of Health Sciences, Bangladesh Bangladesh Institute of Research & Rehabilitation in Diabetes, Bangladesh

Posters-Accepted Abstracts: Health Care: Current Reviews

Abstract:

Background & Aims: The economic burden resulting from diabetic retinopathy (DR) consumes a major portion of resources allocated for health-care services. The present study was undertaken to assess the cost-effectiveness of medical intervention in patients with DR. Materials & Methods: Two hundred patients with DR, at least 1 year of follow-up were purposively selected from Out-Patient Department of BIRDEM (tertiary diabetes care hospital), Bangladesh. Of them 100 were late in detection of DR (LDR) & 100 were detected early (EDR). Comparison was made between the groups. Results: In LDR group, 42.4% had mild non-proliferative DR (NPDR), 31.4% had moderate, 15.1% had severe NPDR & 11.1% had proliferative DR (PDR). In EDR group, 58.4% had mild and 41.6% had moderate NPDR. About 17% patients in LDR & 34% in EDR were free of diabetic complications other than DR. In LDR & EDR, 18% & 46% had one complication, 27% & 8% had two and 30% & 4% had more than two complications respectively. The most frequent complication was cardiopathy which affected 31% patients in LDR & 25% in EDR followed by peripheral neuropathy 19% & 16%, nephropathy 15% & 11% and peripheral vascular disease 8 % & 4% respectively. The average annual cost of care was US$ 27954 (direct US$ 16983 & indirect US$ 10971), with an average US$ 140 per patient. Among the average annual cost LDR consumed US$ 19737 (US$ 197 per patient) & EDR US$ 8217 (US$ 82 per patient). The regression equation showed that medical cost is significantly related to complications tested in both univariate (P<0.0001) & multiple linear regression analyses (R2=0.53; F=82.3, P<0.0001). Conclusion: Proper management with regular screening substantially reduces the expenditure related to care of patients with diabetic retinopathy & related complications even in a developing country.

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